| NPI | 1578883153 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: CT 10791) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: PA CW017429) |
| Enumeration Date | 2010-06-07 |
| Last Update Date | 2020-09-04 |